Individual
CATHY CHIDESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
204 AUTUMN SAGE LN, CHAPARRAL, NM 88081-7732
(575) 824-4388
Mailing address
204 AUTUMN SAGE LANE, CHAPPRRAL, NM 88202-1978
(575) 824-4388
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0138451
NM
Other
Enumeration date
05/24/2011
Last updated
11/28/2012
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